PCC Models Flashcards
Rathert Model
Process
Moderators and Mediators
Outcomes
Processes of Rathert Model
PAC PET IF
8 dimensions of PCC
Patient preferences
Access to care
Coordination of care
Physical comfort
Emotional support
Transition and continuity
Information and education
Family and friends
Moderators Rathert Model
Affects direction or strength of an independent variable on a dependent variable
E.g. Patient condition, expectations
Mediaters Rathert Model
Explains mechanism that underlies a certain association
E.g. patient activation, patient adherence
Outcomes Rathert Model
Patient satisfaction
Patient clinical outcome
Organizational outcomes
Either or Model
Care is either evidence based or patient centered
Integrated Model
Evidence based patient centered care
When evidence, patient preferences and clinical judgement were all taken into account in the care process
Continuum Model
Care can vary from completely evidence based to PCC
Balance between the two is best practice
Cyclical Model
Moves from evidence based to PCC, back to evidence based
Emphasis on us of both processes
Javadevappa Model
Multiple domains influencing treatment choice, process of care and outcomes
Checklist for implementation
Acknowledges the need of minimizing costs
Domains Javadevappa Model
Provider characteristics (clinical convenience)
Patient characteristics (clinical characteristics)
Outcomes (survival, statisfaction with care)
Costs
Minimize in Javadevappa
Costs
(Healtcare resource utilization)
Maximize in Javadevappa
Health related QoL
Functional status
Psychological well-being
